中文摘要：

目的：探讨益肾清利法治疗特发性弱精子不育症疗效及作用机制。方法：将60例特发性弱精子不育症患者随机分为两组,治疗组30例采用益肾清利法治疗,对照组30例口服中成药五子衍宗丸治疗。治疗前后对患者进行综合疗效评价,观察有无妊娠、精液质量检查和血清性激素检测。结果：总有效率治疗组为86.67%;对照组为83.33%,两组比较,差异有显著性意义（P〈0.05）。治疗组治疗前后组内比较,精子密度、精子成活率、快速前向运动（a级）、慢速或呆滞前向运动（b级）、睾酮（T）、卵泡刺激素（FSH）、黄体生成素（LH）差异有统计学意义（P〈0.05）。结论：益肾清利法治疗特发性弱精子不育症达到预期疗效。

英文摘要：

Objectives： To explore the diagnosis and treatment mechanism of Yishen Qingli Decoction on treatment of idiopathic weak sperm sterility. Methods： 60 patients with idiopathic weak sperm sterility were randomly divided into 2 groups,each of 30 cases. Treatment group received Yishen Qingli Decoction for treatment,while control group orally took Chinese patent medicine abital yan zong pill for treatment. The synthetic evaluation of curative effect before and after treatment was conducted,and pregnancy,semen quality and the serum sex hormones（ T,HSH,LH） were tested. Results： The total effective rate in treatment group and control group was 86.67% and83. 33% respectively,with significant differences（ P〈0. 05）. Difference in the sperm density,sperm survival rate A,A＋ B,T,FSH and LH in the treatment group before and after treatment was statistically significant（ P〈0. 05）.Conclusion： Yishen Qingli Decoction has the desired effect in treatments for idiopathic weak sperm sterility.